MICKIE MARCHETTI NPI 1508044264

NPI Information

NPI: 1508044264
Provider Name: MICKIE MARCHETTI
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1915 D ST
ANTIOCH, CA
ZIP 94509
Phone: (925) 754-3673
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Mickie Marchetti is an addiction (substance use disorder) counselor in Antioch, CA. Mickie Marchetti NPI is 1508044264. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1915 D ST
ANTIOCH, CA
ZIP 94509-571
Phone: (925) 754-3673
Fax: (925) 754-2002

The enumeration date for this NPI number is 2/5/2008 and was last updated on 2/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0726	OTHER	CALIFORNIA	DRUG M/CAL BILLING NUM
2	07534	OTHER	CALIFORNIA	DMC ADULT ANTIOCH
3	07555	OTHER	CALIFORNIA	DRUG COURT
4	07556	OTHER	CALIFORNIA	BYRON RANCH
5	07533	OTHER	CALIFORNIA	ADOL TX ANTIOCH
6	07531	OTHER	CALIFORNIA	ADULT TX ANTIOCH
7	07553	OTHER	CALIFORNIA	ADOL TX BRENTWOOD
8	070753	OTHER	CALIFORNIA	MASTER PROVIDER NUMBER
9	07551	OTHER	CALIFORNIA	ADULT TX BRENTWOOOD
10	0753	OTHER	CALIFORNIA	DRUG M/CAL BILLING NUM
11	07552	OTHER	CALIFORNIA	DMC ADULT BRENTWOOD
12	56112	OTHER	CALIFORNIA	STAFF BILLING NUMBER
13	07557	OTHER	CALIFORNIA	DMC ADOL BRENTWOOD
14	07536	OTHER	CALIFORNIA	DMC ADOL ANTIOCH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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